{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T15:03:07Z","timestamp":1786460587268,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The aim of this implementation project was to optimize lactation success in mothers of preterm infants by ensuring early (as soon as possible and within six hours) and frequent (eight to 12 times\/day) milk expression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Evidence suggests that breast milk improves enteral feeding tolerance and neurodevelopmental outcomes and decreases the risk of necrotising enterocolitis and late onset sepsis in preterm infants. It is widely accepted that breast milk expression should commence as soon as possible and within six hours of delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Following implementation of the breast milk expression information pack and staff education program, compliance to clinical guideline recommendations improved considerably. An increase from 5\/20 (25%) to 17\/20 (85%) of women expressing milk within six hours of delivery was observed. The average expression times also increased: from 2.6 (2.0) to 6.1 (2.7) times in the first 24\u200ahours and from 4.6 (1.7) to 7.8 (1.7) times between 24\u201348\u200ahours. The compliance rate for milk expression within six hours of delivery\n                      <jats:italic toggle=\"yes\">and<\/jats:italic>\n                      expression of eight to 12 times daily in the first 48\u200ahours increased from 1\/20 (5%) at baseline to 10\/20 (50%) in the follow-up audit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The implementation of the breast milk information pack and staff education led to improvements in the milk expression practices of mothers who had preterm infants. As a result of this project, the information packs are now routinely given to all women at risk of delivering preterm or who have babies in the neonatal unit. Further audits will be undertaken in the future to determine sustainability of practice changes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.11124\/jbisrir-2017-003534","type":"journal-article","created":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T19:22:23Z","timestamp":1529695343000},"page":"2027-2037","source":"Crossref","is-referenced-by-count":8,"title":["Promoting early expression of breast milk in mothers of preterm infants in a neonatal unit: a best practice implementation project"],"prefix":"10.11124","volume":"16","author":[{"given":"Louise","family":"Goodchild","sequence":"first","affiliation":[{"name":"Department Of Neonatal Medicine, Women's and Children's Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Hussey","sequence":"additional","affiliation":[{"name":"Department Of Neonatal Medicine, Women's and Children's Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"McPhee","sequence":"additional","affiliation":[{"name":"Department Of Neonatal Medicine, Women's and Children's Hospital, Adelaide, Australia"},{"name":"Healthy Mothers, Babies and Children, South Australian Health and Medical Research Institute, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucylynn","family":"Lizarondo","sequence":"additional","affiliation":[{"name":"Joanna Briggs Institute, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Gillis","sequence":"additional","affiliation":[{"name":"Department Of Neonatal Medicine, Women's and Children's Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel T.","family":"Collins","sequence":"additional","affiliation":[{"name":"Healthy Mothers, Babies and Children, South Australian Health and Medical Research Institute, Adelaide, Australia"},{"name":"Adelaide Medical School, Discipline of Paediatrics, The University of Adelaide, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"R3-20230825","first-page":"496","article-title":"Breastfeeding and the use of human milk","volume":"115","year":"2012","journal-title":"Pediatrics"},{"issue":"6","key":"R4-20230825","doi-asserted-by":"crossref","first-page":"F559","DOI":"10.1136\/archdischild-2012-303582","article-title":"Human milk for preterm infants: why, what, when and how?","volume":"98","author":"Menon","year":"2013","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"issue":"1","key":"R5-20230825","doi-asserted-by":"crossref","first-page":"e115","DOI":"10.1542\/peds.2005-2382","article-title":"Beneficial effects of breast milk in the Neonatal Intensive Care Unit on the developmental outcomes of 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